Individual provider Active NPI

Jose Rafael Labault-Santiago, M.D.

  • Neurology Physician
  • Atlantis, FL
National Provider Identifier
1932358009
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P3375 Issued in TX
Practice address
140 JFK Dr
Atlantis, FL 33462-6608
Phone
(561) 968-6767
Fax
(561) 641-0814
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P3375 TX Primary

Addresses

Primary practice location

140 JFK Dr
Atlantis, FL 33462-6608

Mailing address

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463-4727
Phone (561) 966-7707

Other identifiers 1

IdentifierTypeStateIssuer
14W87OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141029000652 FL Practitioner - Neurology 6002063831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 JFK Dr
Atlantis, FL 33462-6608
Phone (561) 968-6767

15340 S Jog Rd
Suite 200
Delray Beach, FL 33446-2170
Phone (561) 496-7200

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

5401 S Congress Ave
Atlantis, FL 33462-6636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.92 of 100Reported as group
Quality
60.62
Promoting interoperability
100
Improvement activities
40
Cost
81.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc CurrentSince Oct 9, 2014 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince Oct 9, 2014 Accepting new patients
Medical Specialists of the Palm Beaches Inc Neurology Past Accepting new patients
Medical Specialists of the Palm Beaches Inc Neurology Past Accepting new patients

Locations

5401 S Congress Ave
Ste 105
Atlantis, FL 33462
Phone (561) 642-8500

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463
Phone (561) 966-7707

Interoperability endpoints

  • Direct secure messaging: jose.labault-santiago.1@11933.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1932358009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "STE 204",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634727",
            "telephone_number": "561-966-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626608",
            "telephone_number": "561-968-6767",
            "fax_number": "561-641-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAULT-SANTIAGO",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P3375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14W87",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.